JACQUELYN B BAKER LMHC
NPI 1215452990
Counselor in Renton, WA

Q: What is Jacquelyn Baker's NPI number?

The NPI number for Jacquelyn Baker is 1215452990. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Q: What is Jacquelyn Baker's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Jacquelyn Baker enrolled in Medicare?

No. Jacquelyn Baker has opted out of Medicare through April 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Baker was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2017Opted out of Medicare · through Apr 22, 2028

340 MORRIS AVE S, RENTON, WA 98057(206) 717-5915 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2023, Jan 30, 2019, Aug 3, 2017 (3 updates tracked since 2017).

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About Jacquelyn B Baker Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN B BAKER LMHC (NPI 1215452990) is an individual counselor in Renton, Washington, licensed in Washington (LH61344290) and active in the NPI registry since August 2017. She has opted out of Medicare through April 22, 2028.

NPPES Registry Identity

NPI1215452990

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJACQUELYN B BAKERCredential: LMHC

Location Address340 MORRIS AVE SRenton, WA 98057-2521

Mailing Address22027 6th Ave S Apt 307Des Moines, WA 98198-6268 · (412) 728-3890

Phone(206) 717-5915

Sole ProprietorNo

Enumeration DateAugust 3, 2017

Last NPPES UpdateMay 5, 20233 updates tracked since enumeration

NPPES CertifiedMay 5, 2023

✔ NPI 1215452990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · LH61344290

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

340 MORRIS AVE S, Renton, WA 98057

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacquelyn B Baker Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 22, 2024 through April 22, 2028.

Opt-Out Effective DateApril 22, 2024

Opt-Out In Effect ThroughApril 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPACE FOR GRIEF

Counselor (Mental Health)